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Letter of Medical Necessity

Please use these links to access the Otezla Letter of Medical Necessity.

To receive by fax, or if you have any questions, call Otezla SupportPlus™ at 1-844-4OTEZLA (1-844-468-3952)

Download the Otezla Letter of Medical Necessity here

Download the Otezla Letter of Medical Necessity Download

Download in Spanish

  • This document is provided for use by healthcare professionals
  • The Otezla Letter of Medical Necessity is provided to assist with appealing a coverage denial for an Otezla prescription
  • What happens if the Otezla Letter of Medical Necessity has been denied? If a coverage appeal is still denied, refer the patient to Otezla SupportPlus™ to determine eligibility for the Patient Assistance Program
  • Call Otezla SupportPlus™ with questions toll free 8 AM – 8 PM ET, Monday – Friday

Indications & Important Safety Information

Please click here for Full Prescribing Information.

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